BSA – Membership

UST; Seattle (WA); On-site; USD 63,000 - 95,000; Full time

Benefits offered by this job

401(k) Matching

Health Insurance

Paid Time Off

Employee Benefits

Job summary

UST is seeking an experienced Business Systems Analyst (BSA) specializing in Membership and the TriZetto FACETS platform. The role covers enrollment and billing operations within a healthcare payer BPM environment.

You will lead requirements, model processes, and collaborate with cross-functional teams to deliver scalable FACETS solutions. Ideal candidates bring 10+ years of BSA experience, deep FACETS knowledge, strong SQL skills, and proven stakeholder management.

Qualifications

• 10+ years as a Business Systems Analyst or Business Analyst
• 5+ years hands-on with TriZetto FACETS platform
• Healthcare payer and BPM domain experience
• Experience supporting FACETS implementations, regulatory mandates, upgrades, and modernization initiatives
• Ability to bridge business, technical, and BPM operations teams

Responsibilities

• Serve as the primary BSA and SME for FACETS Membership, Enrollment, and Billing initiatives
• Gather, analyze, document, and validate complex requirements
• Collaborate with stakeholders to translate needs into functional and technical specs
• Conduct impact assessments for regulatory mandates and system upgrades
• Develop business requirements documents, use cases, and data mapping documents
• Provide UAT support, defect triage, and post-implementation activities
• Support FACETS implementation, migrations, and process improvements
• Facilitate requirements workshops and solution reviews

Skills

FACETS Membership

Enrollment & Eligibility

Billing & Premium Management

Data Analysis (SQL)

Requirements Elicitation

Process Modeling

Stakeholder Management

Education

CBAP/CCBA/PMI-PBA certifications

Tools

JIRA

Azure DevOps

ServiceNow

Job description

The Role

UST is seeking an experienced Business Systems Analyst (BSA) - Membership with deep expertise in the TriZetto FACETS Membership platform, including Enrollment and Billing operations within a Healthcare Payer and BPM (Business Process Management) environment.

Role Description

BSA – Membership

What You’ll Do

• Serve as the primary Business Systems Analyst and SME for FACETS Membership, Enrollment, and Billing initiatives
• Gather, analyze, document, and validate complex business and system requirements
• Collaborate with business stakeholders to understand membership, enrollment, billing, and operational process needs and translate them into functional and technical requirements
• Perform impact assessments for regulatory mandates, enhancement requests, system upgrades, modernization programs, and BPM transformation initiatives
• Analyze end-to-end Membership and Billing workflows to identify process improvements, operational efficiencies, and optimization opportunities
• Support FACETS implementation, migration, upgrade, transformation, and process improvement initiatives
• Develop business requirements documents, functional specifications, process flows, use cases, and data mapping documents
• Conduct root cause analysis and solution assessments for complex business and system issues
• Work closely with development, QA, architecture, operations, and BPM delivery teams during design, testing, deployment, and support phases
• Support User Acceptance Testing (UAT), defect triage, production validation, and post-implementation activities
• Facilitate requirements workshops, stakeholder discussions, and solution review sessions
• Provide production support expertise for membership, enrollment, billing, and operational workflow-related issues
• Partner with business and BPM stakeholders to drive continuous improvement, operational excellence, and process standardization initiatives

This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.

What You Need

• 10+ years of experience as a Business Systems Analyst or Business Analyst
• Minimum 5+ years of hands‑on experience with the TriZetto FACETS platform
• Extensive Healthcare Payer and Healthcare BPM/BPO domain experience
• Proven experience supporting complex FACETS implementations, regulatory mandates, upgrade projects, process transformation initiatives, and modernization programs
• Skills
• SME-Level Expertise In:
• FACETS Membership
• Enrollment & Eligibility
• Billing & Premium Management
• FACETS Front-End Functionality
• FACETS Batch Processing
• FACETS Backend Data Models
• Functional Skills:
• Strong understanding of Healthcare Payer membership lifecycle processes and BPM operational workflows
• Advanced SQL skills with the ability to write complex queries for analysis, data validation, troubleshooting, and solution design
• Experience analyzing membership, enrollment, billing, eligibility, premium‑related business processes, and operational workflows
• Strong requirements gathering, business process analysis, process optimization, and solutioning skills
• Experience creating functional specifications, business rules, process documentation, and system documentation
• Strong communication and stakeholder management capabilities
• Ability to bridge business, technical, and BPM operations teams to deliver scalable solutions
• Experience supporting operational excellence, workflow optimization, SLA adherence, and process governance initiatives
• Preferred Qualifications:
• Business Analysis Certifications
• CBAP (Certified Business Analysis Professional)
• CCBA (Certification of Capability in Business Analysis)
• PMI-PBA (Professional in Business Analysis)
• Additional Preferred Experience
• Experience supporting Healthcare regulatory and compliance initiatives
• Familiarity with Agile delivery methodologies and tools such as JIRA, Azure DevOps, and ServiceNow
• Exposure to Claims, Provider, and Core FACETS Administration functions
• Experience working in Healthcare BPM/BPO environments
• Experience supporting business process transformation, automation, and continuous improvement programs
• Key Competencies:
• Membership & Enrollment Domain Expertise
• Billing & Premium Management Knowledge
• FACETS Subject Matter Expertise
• Complex SQL & Data Analysis
• Requirements Elicitation & Documentation
• Business Process Modeling
• BPM Process Analysis & Optimization
• Solution Design & Validation
• Stakeholder ManagementRoot Cause Analysis
• Operational Excellence & Continuous Improvement
• Agile & Waterfall Delivery
• Healthcare Payer & BPM Domain Expertise

Location & Compensation

Compensation can differ depending on factors including but not limited to the specific office location, role, skill set, education, and level of experience. UST provides a reasonable range of compensation for roles that may be hired in various U.S. markets as set forth below.

Role Location

Seattle, Washington

Compensation Range

$63,000-$95,000

Who We Are

Since 1999, UST has worked side by side with the world’s best companies to make a powerful impact through transformation. Headquartered in the United States, UST is powered by technology, driven by AI, inspired by people, and led by our purpose, we partner with our clients from design to operation. Our AI-driven digital solutions, proprietary platforms, engineering, R&D, products, and innovation ecosystem turn core challenges into impactful, disruptive business outcomes. With deep industry knowledge and a future-ready mindset, we infuse expertise, innovation, and agility into our clients’ organizations—delivering measurable value and positive lasting change for them, their customers, and communities around the world. Together, with 30,000+ employees in 30+ countries, we build for boundless impact—touching billions of lives in the process. Visit us at .

Benefits

• Full‑time, regular employees accrue a minimum of 10 days of paid vacation per year, receive 6 days of paid sick leave each year (pro‑rated for new hires throughout the year), 10 paid holidays, and are eligible for paid bereavement leave and jury duty.
• They are eligible to participate in the Company’s 401(k) Retirement Plan with employer matching.
• They and their dependents residing in the US are eligible for medical, dental, and vision insurance, as well as the following Company‑paid Employee Only benefits: basic life insurance, accidental death and disability insurance, and short‑ and long‑term disability benefits.
• Regular employees may purchase additional voluntary short‑term disability benefits, and participate in a Health Savings Account (HSA) as well as a Flexible Spending Account (FSA) for healthcare, dependent child care, and/or commuting expenses as allowable under IRS guidelines.
• Benefits offerings vary in Puerto Rico.
• Part‑time employees receive 6 days of paid sick leave each year (pro‑rated for new hires throughout the year) and are eligible to participate in the Company’s 401(k) Retirement Plan with employer matching.
• Full‑time temporary employees receive 6 days of paid sick leave each year (pro‑rated for new hires throughout the year) and are eligible to participate in the Company’s 401(k) program with employer matching. They and their dependents residing in the US are eligible for medical, dental, and vision insurance.
• Part‑time temporary employees receive 6 days of paid sick leave each year (pro‑rated for new hires throughout the year).
• All US employees who work in a state or locality with more generous paid sick leave benefits than specified here will receive the benefit of those sick leave laws.

Equal Employment Opportunity Statement

UST is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other applicable characteristics protected by law. We will consider qualified applicants with arrest or conviction records in accordance with state and local laws and “fair chance” ordinances. UST reserves the right to periodically redefine your roles and responsibilities based on the requirements of the organization and/or your performance.

Skills

• SQL
• Jira
• FACETS
• Agile